Ia Y Kue, DO | |
115 Lee Byrd Rd, Loganville, GA 30052-2310 | |
(707) 554-4717 | |
(770) 554-4681 |
Full Name | Ia Y Kue |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 21 Years |
Location | 115 Lee Byrd Rd, Loganville, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902883143 | NPI | - | NPPES |
45-1674932 | Other | MI | COMMERCIAL FEIN |
700H273300 | Other | MI | BLUE CROSS BLUE SHEILD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101015717 (Michigan) | Secondary |
207Q00000X | Family Medicine | 95143 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gwinnett Physician Group, Llc | 9133211139 | 89 |
Entity Name | Gwinnett Physician Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
Mailing Address | Practice Location Address |
---|---|
Ia Y Kue, DO 115 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (707) 554-4717 | Ia Y Kue, DO 115 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (707) 554-4717 |
David Albert Fields, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 96 Tara Commons Dr, Loganville, GA 30052 Phone: 770-554-0399 Fax: 770-554-0058 | |
Mrs. Michelle Renee Crumbley, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4398 Atlanta Hwy, Loganville, GA 30052 Phone: 404-948-3019 | |
Dr. Neil Kingsley Groff, MD. Family Medicine Medicare: Medicare Enrolled Practice Location: 115 Lee Byrd Rd, Loganville, GA 30052 Phone: 770-554-4717 Fax: 770-554-4681 | |
Tolulope Arowosegbe, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4398 Atlanta Hwy, Loganville, GA 30052 Phone: 404-948-3019 | |
Karene Gaile Boone, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3435 Highway 81 Ste 100, Loganville, GA 30052 Phone: 678-376-9309 | |
Bhavani Merugu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4593 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-8672 | |
Sanjeev S Tendolkar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4589 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-8672 Fax: 770-466-2082 |